| NPI | 1093362592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117679) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW87120) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW87120) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-08-24 |